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[JJ-catheters for internal urinary diversion].

K Glavind, B Kjaergaard

    Ugeskrift for Laeger
    |March 27, 1989
    PubMed
    Summary

    JJ-catheters offer a safe and effective method for internal urine diversion in patients with ureteral obstruction. This approach proved gentle, with minimal complications, making it a valuable treatment option for upper urinary tract blockages.

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    Area of Science:

    • Urology
    • Medical Devices
    • Nephrology

    Context:

    • Ureteral obstruction and lesions necessitate effective urine diversion.
    • Previous treatments like nephrostomy catheters were common for postrenal obstruction.
    • Internal diversion using JJ-catheters was explored as an alternative or adjunctive therapy.

    Purpose:

    • To evaluate the efficacy and safety of JJ-catheters for internal urine diversion in patients with ureteral obstruction.
    • To assess complication rates associated with JJ-catheter placement.
    • To determine the suitability of JJ-catheters as a gentle method for relieving upper urinary tract obstruction.

    Summary:

    • 115 therapeutic sessions involved JJ-catheters for urine diversion in 64 patients with ureteral issues.
    • Pyrexia occurred in 12% of sessions post-catheter introduction.
    • Complications such as hematuria, migration, incrustations, and perforation were infrequent.

    Impact:

    • JJ-catheters are concluded to be a good and gentle method for relieving upper urinary tract obstruction.
    • Pre-procedure bacteriological investigation and treatment of urinary infections are recommended.
    • This study supports the use of JJ-catheters in managing ureteral obstructions, potentially reducing reliance on nephrostomy.

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